HIPAA Privacy PolicyNon-Discrimination PolicyPatient Registration

You can now print the New Patient Registration Forms below:

1. Patient Information

2. Office Policies

3. Medical History 

4. Insurance Assignment

5. HIPAA Privacy Signature

6. Release Form to send to your previous DDS

7. Release Form to send to us

PRIVACY POLICY (Read only, no need to print)

Fraud Prevention Policy (Read only)

Non-Discrimination Policy

Please remember to bring your completed forms, insurance card and picture ID to your first appointment. We look forward to seeing you!